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Because of this, combining them with exercise and healthy eating is crucial to ensure you do not experience weight gain when you come off the weight loss medication

If you're approved, start the program, and then decide it's not for you after medication has been shipped - the refund policy limits your options

An impression gets taken first, either with soft putty or a digital scanner in the chair, or via an at-home kit if you're going the online route

Competing interests None of the authors have competing interest

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In summary, therapeutic management of secondary DM in acromegalic patients should be based on a combination of metformin and GLP1-RA, as a first therapeutic approach, in line with the latest scientific evidence, in order to take advantage of the cardioprotective effects of GLP1-RA